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CMS recovery audits on hold as contractors wrestle big backlog

CMS recovery audits on hold as contractors wrestle big backlog

By Beth Kutscher  |  February 20, 2014

The CMS is winding down its recovery audit program with its current contractors, placing the program effectively on hold—perhaps for several months—while it awards new contracts. The pause could be tacit acknowledgment of the need to address issues with the program, a healthcare analyst said.

Outlook 2014: The year ahead in healthcare politics and policy

Outlook 2014: The year ahead in healthcare politics and policy

By Modern Healthcare  |  January 11, 2014

Uncertain insurance exchange enrollment. Tough state battles over Medicaid expansion. Potentially rising healthcare costs. Hoped-for relief from Medicare payment cuts for providers. Read predictions on these and other top issues and trends the industry faces in 2014.

RAC appeals backlog cause for frustration

RAC appeals backlog cause for frustration

By Joe Carlson  |  January 10, 2014

Appealing bad decisions by Medicare's recovery audit contractors has never been easy. But the system has become so overloaded in recent months that some are calling it an administrative quagmire that is denying basic due process rights because it takes so long.

Outlook 2014: Not-for-profit hospitals

Outlook 2014: Not-for-profit hospitals

By Melanie Evans  |  January 04, 2014

Not-for-profit hospitals enter 2014 with continued pressure on revenue growth and operating margins. Not all will get through the year without a hit to their finances or the need for a partner, industry experts say.

Outlook 2014: For-profit hospitals

By Beth Kutscher  |  January 04, 2014

Publicly traded healthcare companies had another positive run in the stock market in 2013, as investors continued to be optimistic about healthcare reform. But to keep up the momentum, the chains will need to continue to make bold moves, particularly around consolidation.

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